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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �� `` � Permit Number: RECEIVED r _ Building Permit Application JUN 1 '019 Planning and Developme n t Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 -Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ✓ PERMIT TYPE:, Lq PRQPQSED IMPRQ1lEME l.00ATION'� . Address: 17944 iP��� !-, ('(' V f� to Property Tax ID#: "f Z� (o�. Z - OD L1 -r'),01- -7 Lot No. Site Plan Name: Block No. Project Name: DEI"A1LED ®ES� �I'PT©N U� WORK: JCL 4400 fC- ®u--% )z-196- ®VC, C4,=N-ARM CTlQ INFORMA 14JN' Additional work to be.performed under this permit-check all that apply: _Mechanical Gas Tank _Gas Piping _Shutters Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch 00 Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ . 'A:000 'Utilities: —Sewer _Septic' Building Height: OWNER/LESSE ; CONTRA T�R Name, se&aSd}NVO Name: 6� Address: 2 ©/✓ �� Company: //V 'Fero �otiT2 ��o.�S Z City: f RLP'+ e,T� , F4 State: !CL Address:P}2©S ` -Ili/)00� L'- Zip Code: `1�9® Fax: : '� City: fyPJli�»�i �v�� "L Stater' Phone No'. Zip Code 3 �-,i � ,,�z Fax .'-•: E-Mail: Phone N'o _'AGI''`Z1 � 1'�i= 2?GL 4�1Z Fill in feesimple Title.lolder on,next;page,'(if different E-Mail - L' /L'i% +'��'_' 4�; h i from the Owner listedabove) _ State or County License S%�7, e 1 )Aj 4-1 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. S "CEMENT' L CONS R° C IQIU LtE+N t.�►W INF�'RMATIO DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and'installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use 'WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT-MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST LINSPECTION. I AN ,ATTORNEY BEFORE RECORDING OYOURTNOITICEOOF COMMENCEME , ." SignatuA of O er/Le/see/Contractor as Agent for Owner Sign turedf Contractor/License Holder STPtfE OF FLORI STATE OF FLORI COUNTY OF COUNTY OF The forgoing inst was knowledg d before me The f r oing ins nt was knowledge before me this day of 20�by this day o 20 .by I !f Name of person making statement. Name of person making statement. Personall own OR Produced Identification Personally n OR Produced Identification Type o dentifl tin Type of Identific Produced Produced C ' (Signature of (Signatur o N a P bli rt-t- of AQrwa �p•4fP�:.`q.�•• AUDREYB.HUMPHREY tis.o AUDREYB.HUM RE :t••' :TSL :2O• YP�O: Commission N COMMISSIONVAGO 0817 Commission N • ' _ • : COMMISSION# 17 =ma o" EXPIRES:Match 6.2023 EXPIRES:March 6,2023 � oF F�°c Bonded Thru N Public Underwriters .!F o? REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED